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10只小猫出现皮脂腺分化异常(“皮脂腺发育异常”),伴有全身性毛发稀少和脱屑。

Abnormal sebaceous gland differentiation in 10 kittens ('sebaceous gland dysplasia') associated with generalized hypotrichosis and scaling.

作者信息

Yager Julie A, Gross Thelma Lee, Shearer David, Rothstein Emily, Power Helen, Sinke Jacqueline D, Kraus Hans, Gram Dunbar, Cowper Ellie, Foster Aiden, Welle Monika

机构信息

Department of Pathobiology, University of Guelph, Ontario, Canada.

出版信息

Vet Dermatol. 2012 Apr;23(2):136-44, e30. doi: 10.1111/j.1365-3164.2011.01029.x. Epub 2012 Feb 7.

Abstract

A rare congenital dermatosis, characterized by progressive hypotrichosis with variable scaling and crusting, occurred in 10 short-haired kittens in North America and Europe. Lesions appeared at between 4 and 12 weeks of age, commencing on the head and becoming generalized. The tail was spared in two kittens. Generalized scaling was mild to moderate, often with prominent follicular casts. Periocular, perioral, pinnal and ear canal crusting was occasionally severe. The skin was thick and wrinkled in two kittens. Histologically, the main lesion was abnormal sebaceous gland morphology. Instead of regular differentiation from basal cells to mature sebocytes, the glands were composed of a haphazard collection of undifferentiated basaloid cells, some partly vacuolated and a few containing eosinophilic globules. Mitotic figures and apoptotic cells were present in an irregularly thickened follicular isthmus. Lymphocytic mural folliculitis and mild sebaceous adenitis were rare. Orthokeratotic hyperkeratosis and follicular casts were present. Hair follicles were of normal density and were mostly in anagen, but some contained malacic hair shafts. Perforating folliculitis, leading to dermal trichogranuloma formation, occurred occasionally. Further biopsy samples taken at 2 years and at 3 and 4 years, respectively, from two kittens revealed similar but often more severe sebaceous gland lesions. Hair follicles were smaller, with many in telogen. The young age of onset suggests a genetic defect interfering with sebaceous and, possibly, follicular development. These lesions are discussed with reference to studies of mouse mutants in which genetic defects in sebaceous differentiation cause a similar phenotype of hyperkeratosis and progressive alopecia.

摘要

一种罕见的先天性皮肤病,其特征为进行性毛发稀少,并伴有不同程度的脱屑和结痂,在北美和欧洲的10只短毛小猫中出现。病变出现在4至12周龄之间,始于头部,随后全身扩散。两只小猫的尾巴未受累。全身脱屑程度为轻度至中度,通常伴有明显的毛囊角质栓。眼周、口周、耳廓和耳道结痂偶尔较为严重。两只小猫的皮肤增厚且有皱纹。组织学上,主要病变是皮脂腺形态异常。皮脂腺不是从基底细胞正常分化为成熟的皮脂腺细胞,而是由一堆杂乱无章的未分化基底样细胞组成,有些细胞部分空泡化,少数细胞含有嗜酸性小球。有丝分裂象和凋亡细胞出现在不规则增厚的毛囊峡部。淋巴细胞性毛囊壁炎和轻度皮脂腺炎少见。存在正角化性角化过度和毛囊角质栓。毛囊密度正常,大多处于生长期,但有些毛囊含有软化的毛干。偶尔会发生穿通性毛囊炎,导致真皮毛发肉芽肿形成。分别从两只小猫身上在2岁以及3岁和4岁时采集的进一步活检样本显示,皮脂腺病变相似,但往往更严重。毛囊更小,许多处于休止期。发病年龄较小提示存在一种遗传缺陷,干扰了皮脂腺以及可能还有毛囊的发育。结合对小鼠突变体的研究对这些病变进行了讨论,在小鼠突变体中,皮脂腺分化的遗传缺陷导致了类似的角化过度和进行性脱发表型。

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